Health Services Assistant: Care Coordination & Claims

Presbyterian System Services; Albuquerque (NM); Sur place; USD 24 000 - 40 000; Plein temps

Avantages offerts par ce poste

Wellness program

Employee health plan

Drug-free workplace

Résumé du poste

Presbyterian Healthcare Services in Albuquerque, NM seeks a full-time Health Services Assistant to support health services coordination, medical records, prior authorization, and data entry.

The role involves coordinating benefits, referrals, and communications with providers and members, using multiple computer applications. A high school diploma is required; an associate degree is preferred, with 1–3 years in medical or health insurance settings.

Qualifications

• High School Diploma or GED required; associates preferred.
• 1–3 years in medical or health insurance position.
• Experience with prior authorization and medical records coordination.

Responsabilités

• Process prior authorizations and document outcomes per guidelines.
• Coordinate benefits, referrals, and provider communications.
• Data entry and claims-related documentation across systems.

Connaissances

Medical records coordination

Claims processing

Prior Authorization

Communication skills

Formation

High School Diploma or GED

Associates Degree preferred

Outils

Medical billing software

CRM/ERP systems

Description du poste

Presbyterian Healthcare Services in Albuquerque, NM seeks a full-time Health Services Assistant to support health services coordination, medical records, prior authorization, and data entry.

The role involves coordinating benefits, referrals, and communications with providers and members, using multiple computer applications. A high school diploma is required; an associate degree is preferred, with 1–3 years in medical or health insurance settings.